SearchIllinois101YP2500X

Bradley Goben, MA LCPC

NPI 1073645578 · on the registry since 2007

Practice

Address
313 N Mattis Ave
Champaign, IL 61821
Phone
(217) 348-1086
Fax
(217) 355-4012
Organisation at this address
Kc Counseling, Llc
Midwest Neurofitness
Kc Eating Disorder Clinic Pllc
Kc Eating Disorder Clinic Pllc
Abc Counseling And Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois